Individual
CHANTAI NACOLE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2220 WISTERIA DR STE 300, SNELLVILLE, GA 30078-4604
(678) 836-2107
Mailing address
2233 ROLLING ACRES DR SW, CONYERS, GA 30094-6137
(770) 876-3871
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN122640
GA
Other
Enumeration date
06/15/2020
Last updated
05/24/2022
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